Review Article

Lipid-Based Nanovectors for Targeting of CD44-Overexpressing Tumor Cells

Table 1

Examples of HA-decorated lipid-based nanocarriers for targeting of CD44.

CarrierDrugHAMain findingsReference

Liposomes DOXLMW-HAAvid cell-liposome binding followed by internalization in cells overexpressing CD44.
Higher cytotoxicity compared with free drug on CD44-overexpressing cells.
[12]
LiposomesMMC
DOX
HMW-HAHigher affinity of HMW-HA to bind the CD44 receptors, compared to hyaluronan fragments.
Long-term circulation of HMW-HA liposomes.
HMW-HA can act as cryoprotectant, thus allowing liposome lyophilization.
Loading into the HA-modified liposomes generates a 100-fold increase in drug potency in tumor cells overexpressing CD44 receptors.
Higher drug accumulation in tumor, compared to free drug or drug in unmodified liposomes.
[13, 14]
Self-assembled lipid nanoparticlesPTXHMW-HAReduced PTX accumulation in liver and spleen and increased drug accumulation in the tumor, compared to Taxol.
Prolonged PTX half-life.
Reduced PTX toxicity.
[15]
HA-coated nanostructured lipid carriersPTXHMW-HAMore effective than Taxol with fewer side effects.
Prolonged PTX half-life.
Increased PTX accumulation in tumors.
[16]
Self-assembled nanoparticles
DCTLMW-HAEnhanced intracellular DCT uptake in the CD44-overexpressing cell lines.
MDR-overcoming effects.
In vivo specific CD44-mediated tumor targeting.
[17]
PEGylated self-assembled nanoparticlesDOXImproved retention time in the bloodstream and nanoparticle accumulation at the tumor site.
PEGylation resulted in prolonged nanoparticle circulation and reduced DOX clearance rate.
Higher in vivo antitumor efficacy in the tumor xenograft mouse model in comparison to non-PEGylated nanoparticles and DOX alone.
[18]
Cationic liposomesDNA and siRNAHMW-HAThe presence of HA-DOPE lipid conjugate in the liposome composition did not affect the lipoplex formation.
Increased nucleic acid protection against enzymatic degradation.
Increased the level of transfection on CD44-highly expressing cells.
[1921]
NanoparticlesDifferent molecular weightsNo induction of complement activation.[18]